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Workers' Compensation Medical Cost Containment: Updated National Inventory

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Table 4  Comparison of Selected Fee Schedule Allowances by CPT Code as of January 1, 2008
This table provides a comparison of fees for selected procedure codes often used in workers' compensation cases. Note that a number of states have different fees allowed within the state. Those states have chosen one specific code of all those available and footnoted which fees they are using. The CPT codes used here are standardized "current procedural terminology" published by the American Medical Association. In a number of cases the professional component and the technical component have been added together to get one fee for the listed service. 

State

CPT 29881 - Arthroscopy CPT 63030 - Lumbar Laminotomy CPT 64721 - Neurolysis at Carpal Tunnel CPT 71020 - Chest X-Ray, Two Views CPT 72131 - CAT Scan, Lumbar without Contrast CPT 95904 - Nerve Conduction Testing CPT 97110 - Therapeutic Procedure, One or More Areas, Each 15 Mins. CPT 97140 - Manual Therapy Techniques CPT 99205 - Office Visit, New Patient, Comprehensive Exam CPT 99213 -Office Visit, Established Patient, Expanded Exam CPT 99284 - Emergency Care, Initial Visit, Detailed History
Sample State 1 $1,368.68 $2,818.38 $909.41 $58.22 $426.82 $83.47 $86.16 $31.82 $208.17 $62.73 $118.62
Sample State  2 $929.09 $1,377.99 $572.28 $51.41 $417.16 $76.81 $39.16 $35.64 $243.47 $72.29 $139.56
Notes:  

 

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